Name *

First Name

Last Name

Phone *

(###)

###

####

Proposed start date of the retreat *

We can hold this 14-hour retreat over consecutive days or spaced over the course of several weeks.

MM

DD

YYYY

Sponsorship Level *

There are several different ways you can work with us. Please indicate below the ways in which the business/organization/faith community you are representing is willing to sponsor this relationship retreat (check all that apply):

We will provide names of couples attending the retreat

We will provide a designated space for the retreat (ideal setting has an area for the large group learning and private spaces for couples to practice learned material on their own)

We will pay the FULL cost of the relationship retreat

We will pay for SOME costs of the relationship retreat

We will provide snacks and refreshments during the retreat